Coryell, Russell David
Coryell, Russell David is an individual health care provider with primary practice located at 1455 S Valley Dr Ste B , Las Cruces NM 88005-3165. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Coryell, Russell David can be contacted via phone (575) 526-6992.Contact Information
Primary practice address
1455 S Valley Dr Ste B
Las Cruces NM 88005-3165
Phone: (575) 526-6992
Fax: (575) 526-7983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-02762 | New Mexico |
Profile Details
| NPI number | 1366811721 |
|---|---|
| LBN Legal business name | Coryell, Russell David |
| Credentials | CNP-FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Sep 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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